MEDICARE: KADIN K WILSON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	9719126-9922	UT

General Provider Information

NPI Number	:	1518385756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADIN K WILSON DMD

Provider Business Mailing Address
First Line	:	1275 30TH ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-3476
Country	:	US
Telephone Number	:	619-205-1950
Fax Number	:	619-205-1951

Provider Business Practice Location Address
First Line	:	3725 W 4100 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-5411
Country	:	US
Telephone Number	:	801-969-8881
Fax Number	:	801-969-8889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2014
Last Update Date	:	02/25/2020

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1376581140 — DR. GEORGE WILLIAM MIDDLETON JR. M.D.
Practice Location Address:

3725 W 4100 S
WEST VALLEY CITY, UT
84120-5411

Practice Phone: 801-965-3600
Practice Fax:

1780615153 — BRUCE MONTGOMERIE MD
Practice Location Address:

3725 W 4100 S
WEST VALLEY CITY, UT
84120-5411

Practice Phone: 801-965-3600
Practice Fax: 801-965-3526

1639492036 — MICHELLE MOYES LPC
Practice Location Address:

3725 W 4100 S
WEST VALLEY CITY, UT
84120-5411

Practice Phone: 888-949-4864
Practice Fax: 801-468-2006

1780908574 — DR. REED EVERS MD
Practice Location Address:

3725 W 4100 S
WEST VALLEY CITY, UT
84120-5411

Practice Phone: 801-965-3600
Practice Fax:

Directions to “ KADIN K WILSON DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.